L.M. Foundation Donation form

Supporting the Community in need!!

Tax Deductible Donation Form
Donors Name*

First NameLast Name
Donors E-mail*
Donors Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is this a:*

One time donationMonthly Donation

Donations*

USDDescription

Credit Card

Should be Empty: